| Elisa Maria Rosario Rodriguez, MD | |
|
50 N Perry St, Pontiac, MI 48342-2217 | |
| (248) 338-5392 | |
| Not Available |
| Full Name | Elisa Maria Rosario Rodriguez |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Location | 50 N Perry St, Pontiac, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477238251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4351050819 (Michigan) | Secondary |
| 208D00000X | General Practice | 4301513525 (Michigan) | Primary |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20210405000855 |
| Mailing Address | Practice Location Address |
|---|---|
| Elisa Maria Rosario Rodriguez, MD 50 N Perry St, Pontiac, MI 48342-2217 Ph: (248) 338-5392 | Elisa Maria Rosario Rodriguez, MD 50 N Perry St, Pontiac, MI 48342-2217 Ph: (248) 338-5392 |
Andrew John Ketner, D.O. General Practice Medicare: Accepting Medicare Assignments Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5392 Fax: 248-338-5567 | |
Mohammad Mahmoud Ballout, MD General Practice Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5332 | |
Dr. Mhd Adeeb Sebai, General Practice Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 617-383-7761 | |
Bryan K Swilley, DO General Practice Medicare: Accepting Medicare Assignments Practice Location: 673 Mlk Blvd N, Pontiac, MI 48342 Phone: 248-338-2793 | |
Saman Al Barznji, MD General Practice Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5392 Fax: 248-338-5567 |